| NPI | 1407423122 |
|---|---|
| Former Name | ELSA ANN PARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MN 72171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8999) |
| 2085R0001X (Licence: UT 14263158-1205) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2026-05-06 |